HomeMy Public PortalAbout5956 CAMELLIA AVE_Building__ BUILDING
BUILDING
ADDRE!!•
APPLICATION LODALITY
H[AA[BT
DMSION OF BUILDING AND SAFETY —
Department of Co>mty Engineer DIST N0. RZOICIOWNEL PERMIT NO.
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER GROUP DArx*KcKiVm DATIt 168UID
CANUATT D. GRIFFIN, sur•T or BuiLDiNa _r //- / //
FOR APPLICANT TO F1T.T• IN r�PE�tlrr• DEJd[o BY I UED rY
OWNER ( le)rdntZ �4wv/ MAP�/ ATI
MAIL �1� .y / NUMBER HWY ti�
ADDRESS L L, T
- U4[ZONE 7PECIA
TEL �(/ 15 CONDITIONS
ARCHITECT OR TEL-
A
EL '`
ENGINEER N0.
BUILDING YARD HWY BTR[ET NAM[ EXIST.
D B SETBACK WIDTH
TEL � FRONT
CONTRACTOR N0. P.L.
BID[ /O r
P. L 1 (O
BUILDING DATE OORR[QTIONB INSP[CTOR
ADDREIM (p
K G
LDT N0. ■LOOK
TRACT
NO. OF BLDOS.
SIZE OF LOT NOW ON LOT
USE OF Q - f
FXIPITINg
DESCRIPTION OF WORK
_ o
Ew ADD ALTER REPAIR DEMOLIGH Z
F-F. �N C. O F H 0.O F r r
SIZE o 7Qn STOPIEB FAMILIED
UB[OF BTRUOTU ' Iarr s !�
' v
r
19L-& AO
3
at �r 4, C= ;
0. F J �1 .f '� N DT 'r'i �� ..`is•ir
1 HEA ESY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS INSPECTOR'S BIDNATUR[ DATE
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDIHAND[B roUNDATIIII LOCATION
AND 13TATI LAWS REGULATING SUI NO DONBTRUOTION. FORME MATERIALS
FRAME: FIRE STOPS, ¢.
SIGNATURE O GRADING BOLTS v 2�(! •�
P[RMITTI _
FURNAQEI LOCATION.
GAB VENT DUCTS
ADDR
LATH. INT. i-
AUTHORIZED AOT L,/V.
$ V �� LATH EXT.
F�� REOT AND POSTED
4 �6 HOUSE HUMBER GOR-
T H
VALUAI
r'FE FINAL j
76A638A DEE 3 O6 5-54
NOkdkVCOMPENSATION'D�,
I•Xercby affi fm TIt F have a.certfflcata'of So�nt to teff `. - I
Insure, or a'Lerllflcatq o ll�orkprs' dmpertsatlon Insurance, APPLICATION" FOR-)'P.P � I .•
or'a`cbrtlflad copy�tht`reof Sec Lob'. C ) r - _ -.. , _ -. _
, �yr�� COUNTY-OF LOS ANGELES BUILb4NG,_AN 3AFr(Y ,•r,,,- ,
Rollry No. G?. WYCompnnv ;
Lertlflpd copy-li•�herebyJur)lsRed,. FO APPLICANT TQ FILL �f r BUILDING.' -
'. ADDRESS -
�I Cer)Iffcop�Is fllbd wRhi:fhe couh'Tylx)I`Iding lrlapec-• `I BUILDING
�J '•Tlon"d rttn nT. ;x. ,r x: ADDS
Date. -, vAjSpllpant ! /L6$ElSd.�=j�s*�i� I ZIP LOU1fll I I
CERTIFICATE C)€_E>VAFM SN:FkOW WORKEW''. - - NO:OF BiDGS
•COMPENSATfON'1NSURANC;r' t_1 S[a OF d7 NOW LOT ST.
(Thli-iactlon nebd=not be'comx leted ff theSpertnit.li forbne BTRACTLOC- - LOT NO. i ;- �- - Y' Y•• T4' `}:
hundred.dollars(;',00)ON } MAP BOOK I':" /AGE' PARS
r .a r I` r F-* r Y. OWP6t -„
I terrtffy't#wt,lf�t�9'Perforr dncd of"Thd wQr'k,'f6e-.w thb `T
Perr4ilt IiI sued 1 Oa�l�of dmpltfy ariy'perso.n�n aay rngnher _ SPECIAL �- r _ r
rQ`ai 1e betoM s111?�gcl�toT(td'Wdiicbn Com' nsaftb`n y Z1P ¢ O1_ _ - �• — ��- ;�{�. `Y -
ARpllcant
NOTICE T _ L�Y£NT:''!f, diter _mdkliiq thlf"Certtflcafe of, � - _RISTRIC7 :ct�P ;'_ R,.C' BY
Exemtjloh; •you ihould bbcohie'sub44eGt�"rcr.the, W"eri _ yyI/ +`"`
GompensatfontprovhMons,of the Labor.Cbde,•you must•forth-s (
with tgrh .'wl .wch� lS1cns.or•,this. rmlt shall be r _ _.TEL_. �
PIX 1}+ PFR+ , ,P' - _ ATISTK'1,L CLASSIF TION 1PT.
deerhed_mvOkpd,i.,1• t:. h• ,,1 f. , C NO.
IjCENSLD CONTRACTORS PEO- RAT1014�. }. -_ ._. _ �+ _ �f30. DWaL UNQ$ "l
I hpseby afflrrrt thartlfQm Ilce,µ of {qr p�ov�}lons Chapter9 ADDRESS J i NO
( mP rSq wlthSectlon 700D)9f on 3 of"The Hers - - - -.uG- SEWFR
Prof�rl s 6de,'and`rfiy II•Mnob b'Irc full fac;and e#ect. UfY y C1A55 �'; 3� i .� - - -.VALpATIllow
- t �+• r
Sa. Fr. NO.OF NO.OF C}fOC
nleJJUm r" L]t Cloa!' r_ 570RCS r - - FAWUE% �E..
s. , F, n r
f , n. - _ - NEIN -�N, ATLO�#.
Contractoi'�G�tfeGL-' _ oes�IPnoN of � i l�dD.. F t us'•- . _ 4
I afi ixern t:under Sec,
_
�� RUR.
"B.dP.C. for t�ib.reason - Y
USE OF t
Date'' EXI571NG SLUG. -
SlanatU APPLtG
PRI No.
i"hereby offlrm.that47 crnexempt.}T'om"the Contractor's Llcerub'- T'- - •r- +f -�^ i ;t
ra,w•for•the follpwlFO-redlofr:(Setflbn-7031-.'3, Buslners and ADDRESS �c _:q; Z. fl
"Prgfbssfons Co`dej: -- r ." r,' ;.tR.r_ - _ �3 8 L-4,6
r BUILDING _l �I $7 0"6 0
I as owner oft
Property or my employees with _ ADDRESS
aGapAs ai t�elr iole'�omperiia'ff 6nn,:wllf do the work and J� g* n�}
the structure Is hot Intended or offered for*ale(Section. LOCbrJTY !�1 �+ I -0y a T�:K_6-
- _ .7044,-BUshie;s'and P4ofeiilo u Code); MOVING ____. _ . _ _ . - _. -•�
t, as owner of tiSe property, ora gxclwlvely cohffactlnq NO. Y },..•�� t 4;
_with lkerMad contracOw-to-tonstroct=the protect fSec- ' A 55 - ,`- - •f-t' r- -tt-r: - yO l,'I 4' -86
tlon 7044, Buslne"and Profbsslons Gode}
SETBACK
COfOSTRUCTION LENDING-AGENCY`^_ SET BACK' YARD ItvVlREQUIRED - PROP. UNE �WlDFH
1 hereby"affirm thdt t},ere Is a consinKtlon lending dflency for FRONT
-the pe-rforrtrance of-the•work-for,whlch thhpermit Is Issued P.
}' (Sec 3097,'0v. SIDE i. .
L.rrs me ;
Ler>der's Addt b�l� � - C Fee t Peo.h Fee - LDe1A Ref. •
-- est~ - ��., �r.• r
1.cet3lfyrthaT_I.have reed ih[s•appllca#lon arA state.that the __ _ hn,ance-Fsi �.-. -CDMA P/{ r.
�t-- -• - - -
i_ abovpinforrrwtioh Is coireci. I,agree td comply ivtth.all Coutaty In
ordlnanu}.ar.4'State Id_ws relptlnfl t' bull Ing corgtructlpn, h TM,
and-tereby puthorize esbn es o{thla County to enter' Total FLr- - ✓ LDAAA Perm. f
Qo a above urposa
.0 -
J L
so ttAm KM 111DULAMATC* 1.1'HwlUAGE